Iris Aponte
Healthcare and Insurance Consultant at Professional Services | Florida, United States
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Iris Aponte is a seasoned Healthcare and Insurance Consultant with over 27 years of extensive experience across various lines of business, including Commercial, Life, Medicaid, and Medicare Advantage. Currently, she plays a pivotal role in Professional Services, where she leverages her deep expertise to optimize business performance for healthcare providers. Iris is HIA certified and possesses a comprehensive understanding of federal and local health insurance legislations, including CMS regulations, the local Prompt Payment Law, and NAIC regulations for Coordination of Benefits (COB).
In her current position, Iris focuses on enhancing operational efficiencies through meticulous policy and procedure documentation and business process optimization. She works closely with hospitals, physicians, and durable medical equipment (DME) providers, advising them on best practices for billing processes. Her strategic insights help ensure the accurate and prompt payment of claims, which is crucial in today’s fast-paced healthcare environment.
Iris’s skill set encompasses a variety of areas, including auditing, vendor contracts, and vendor coordination, making her a versatile asset to any healthcare organization. Her proficiency in both front-end development and team building further amplifies her ability to drive collaborative efforts that lead to improved operational outcomes. With a commitment to navigating the complexities of the healthcare landscape, Iris Aponte continues to be a trusted advisor, helping organizations adapt to evolving regulations and optimize their business strategies for sustainable success.
Healthcare and Insurance Consultant at Professional Services in May 2013 to Present
Claims Director at Triple-S in January 2017 to August 2021
Claims at Constellation Health, LLC in September 2013 to January 2017
Claims Director at Medical Card Systems Inc. in October 2009 to May 2013
Claims Director at La Cruz Azul de PR in January 2005 to October 2009
Claims Manager at Triple-S in August 1995 to January 2005
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Third-Party Vendor Management
Medicare/Medicaid Reimbursement
Front-End Development
Auditing
Policies & Procedures Development
Medicare Advantage
Vendor Management
Vendor Contracts
Vendor Negotiation
Vendor Coordination
Vendor Audit
Sales
Enrollment Services
Provider Enrollment
Insurance Claims
Property & Casualty Insurance
Medicaid
Healthcare
Insurance
Medicare
Managed Care
HIPAA
Health Insurance
Underwriting
Claim
Visio
Business Analysis
Provider Relations
ICD-9
Medicare Part D
HMO
Employee Benefits
Commercial Insurance
claims
Claims Management
Claims Investigations
Reinsurance
ICD-9-CM
Healthcare Information Technology
Healthcare Industry
CPT
Network Development
Health Policy
Process Improvement
Team Building
Strategic Planning
Business Process Improvement
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Discover more about Professional ServicesWhat is Iris Aponte email address?
Email Iris Aponte at [email protected]. This email is the most updated Iris Aponte email found in 2026.
How to contact Iris Aponte?
To contact Iris Aponte send an email to [email protected]. (updated on October 30, 2024)
What company does Iris Aponte work for?
Iris Aponte works for Professional Services
What is Iris Aponte's role at Professional Services?
Iris Aponte is Healthcare and Insurance Consultant
What is Iris Aponte's Phone Number?
Iris Aponte's phone (305) ***-*259
What industry does Iris Aponte work in?
Iris Aponte works in the Insurance industry.
Iris Aponte Email Addresses
Iris Aponte Phone Numbers
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